Billing Specialist

PREBENEFITS

• Competitive Medical, Dental, and Vision Plans*
• Retirement Plan with Employer Match*
• Continuing Education (After Probation)*
• Work Laptop Provided*
• Staff Appreciation

* Employee must be full-time in order to be eligible for these benefit

ABOUT LIGHT COUNSELING:

Since 1991, Light Counseling has served more than 60,000 Individuals, Couples, & Families with professional, confidential, and distinctly Christian counseling services in Virginia and fourteen (14) other states We take pride in incorporating God’s truth in the helping process. Our mission is to bring hope to the hopeless and healing to those who are hurting by helping individuals realize their God-given, divine potential.

DESCRIPTION

The Billing Specialist is part of an integrated team and provides support to the mental health counseling staff and support teams. This position plays a crucial role in ensuring that services are accurately billed and reimbursed. This position is supervised by the Billing Manager.

We are seeking an experienced and motivated individual to join our team as a Billing Specialist. As part of our care team, your primary responsibility is to accurately billing mental health services provided to patients and ensure timely reimbursement from insurance companies and other payers. You will utilize your knowledge of mental health billing codes, insurance policies, and regulations to navigate the billing process efficiently. Additionally, you will work closely with healthcare providers, patients, and insurance companies to resolve billing issues and ensure compliance with relevant laws and regulations.

You will be the first point of contact for current and potential clients, visitors, community partners and referral sources. You will gather vital information to collect a complete referral (from another provider, self-referral, etc.) and coordinate clients' entry into our care system before placing them in our scheduling system. You must have strong communication skills, experience with accurate data entry, and knowledge of common behavioral health and medical terminology. The Billing Specialist will also provide support duties to include (but not limited to) greeting persons entering the office, handling client referrals, collecting registration paperwork and client payments, answering inquiries via in-person, phone, or email settings; and scheduling and rescheduling sessions.

LEVEL OF RESPONSIBILITY:

Employment with Light Counseling is of a confidential nature and operates in accordance with federal and state privacy laws and practices (i.e. HIPAA). All work is performed under supervision but does require the ability to effectively function independently, with flexibility, initiative, maturity and decision-making within the framework of Light Counseling policy and procedures. 

DUTIES AND RESPONSIBILITIES:

• Acts as a liaison between clinical staff, administration and healthcare plans; meet with providers to collect and review credentialing data
• Review mental health service documentation to accurately assign billing codes (e.g., CPT, ICD-10) based on the services provided.
• Prepare and submit insurance claims for mental health services in accordance with payer requirements and deadlines.
• Verify patient insurance coverage and eligibility for mental health services.
• Follow up on outstanding claims and denials to ensure timely reimbursement.
• Respond to inquiries from patients, healthcare providers, and insurance companies regarding billing issues.
• Collaborate with healthcare providers to resolve coding and billing discrepancies.
• Stay up-to-date on changes in mental health billing codes, insurance policies, and regulations.
• Maintain accurate records of billing activities and financial transactions.
• Assist with financial reporting and analysis related to mental health services.
• Strict adherence to all HIPAA, Light Counseling, state, federal and accreditation agency rules and regulations
• Learns and provides support for various electronic applications and platforms used by Light Counseling
• All other duties as assigned.

KNOWLEDGE, SKILLS, & ABILITIES

• Knowledge of office operations and customer service practices
• Ability to listen to others and interact well with the public
• Understanding of federal and state privacy and security laws, regulatory requirements, and standards for maintaining information security and confidentiality.
  

• Knowledge of commercial and government insurance plan and coverage
• Knowledge of key insurance terms and how claims are processed by a health plan (i.e. coinsurance, deductibles, copays, etc.).
• Must demonstrate an understanding of and an appreciation for cultural diversity and inclusivity
• Ability to learn quickly new and existing tasks, platforms, and workflows
• Ability to effectively communicate information and respond to clients, staff, and community partners.
• Demonstrate the ability to focus on details, complete assigned projects, meet deadlines, and prioritize multiple competing tasks in a fast-paced, team-based environment.
• Ability to define problems, collect data, establish facts, research solutions, and draw valid conclusions.
• Ability to problem-solve a variety of hardware and software issues;
  
• Be detail-oriented, organized, self-motivated, and possess strong time management and problem-solving skills to handle multi-faceted conversations and situations

The Billing Specialist is an integral part of the team and must be willing to not only be flexible, but also learn and accept new responsibilities, work well with others, and contribute to the mission and values of Light Counseling.  The Billing Specialist must represent Light Counseling to all clients in a manner that reflects its values.

MINIMUM QUALIFICATIONS

• High School diploma or equivalent.
  
• Two years of proven experience in medical billing, preferably in a mental health setting.
  
• Knowledge and understanding of revenue cycle management
• Proficiency in medical billing software and electronic health records (EHR) systems.
• Ability to organize and prioritize work and manage multiple priorities
• Ability to analyze data and develop effective solutions.
• Related experience in customer service
• Strong attention to detail
• Moderate computer proficiency

• Excellent oral and written communication skills.
• Valid Driver's License and acceptable driving record.
• Be proficient with Microsoft Office 365
• Complete all required background checks and drug testing.

PREFERRED QUALIFICATIONS

• Bachelor's degree in healthcare administration, finance, or related field
• Certification in medical billing and coding (e.g., Certified Professional Biller).
• Experience with Medicaid and Medicare billing for mental health services.
• Knowledge of managed care contracts and reimbursement methodologies.
• Experience with appeals and denials management in healthcare billing.